Page 1 of 4 M-13258864-91048

086105/13258864-91048/1-4/RESGB/04-08
Your Base Branch : KAITHAL BRANCH,
1065A/11, PROFESSOR COLONY,
KURUKSHETRA ROAD, 136027
MR.DEEPAK GERA
402/2DOGRAN GATE NEAR,TARA,CHAND CHAKKI,
KAITHAL KAITHAL : Visit www.icicibank.com
KAITHAL Å Dial your Bank 1860 120 7777
HARYANA - INDIA - 136027

Never share your OTP, URN, CVV or passwords with anyone, even if the person claims to be a Bank employee.

STATEMENT SUMMARY for Customer ID : XXXXX3303 as on March 31, 2022

ACCOUNT DETAILS - INR

ACCOUNT TYPE A/C. BALANCE (I) FIXED DEPOSITS (LINKED) BAL. (II) TOTAL BALANCE (I+II) NOMINATION
Savings A/c XXXXXXXX7908 2.03 0.00 2.03 Registered

TOTAL 2.03 0.00 2.03

Statement of Transactions in Savings Account XXXXXXXX7908 in INR for the period March 01, 2022 - March 31, 2022

DATE MODE PARTICULARS DEPOSITS WITHDRAWALS BALANCE

01-03-2022 B/F 17,867.08
UPI/206019953998/UPI/gclcheeka@oksbi/State Bank Of
01-03-2022 320.00 18,187.08
I/SBI7023b3e8647d48a1a2608a5d0b21689c
UPI/206106358971/UPI/dev.malhotra002/Paytm Payments
02-03-2022 500.00 17,687.08
/ICI8b2acd6b0d55455cbd4931655c062b31/
02-03-2022 CASH DEPOSIT CAM/08611SRY/CASH DEP/02-03-22/5670 98,500.00 1,16,187.08
UPI/206150750793/Payment from Ph/9813635235@ybl/Axis
02-03-2022 3,000.00 1,13,187.08
Bank Ltd./YBL1345c058da1d42c0860b4e61f815308f/
UPI/206158695842/Payment from Ph/9813635235@ybl/Axis
02-03-2022 1,000.00 1,12,187.08
Bank Ltd./YBL53f722ee71de40a79f1a4e9b1aca440e/
UPI/206179746236/Payment from Ph/PHONEPECARDPAYM/Yes
02-03-2022 100.00 1,12,087.08
Bank Ltd/YBLba9caf41e7cb4c20811f2435bb6dabdd/
UPI/206121686105/payment on CRED/cred@axisb/Axis Bank
02-03-2022 10.00 1,12,077.08
Ltd./ACDK2d90GyM2QYQ3EXpJErW/
UPI/206117856195/mug/tanuj3189@okici/ICICI
02-03-2022 200.00 1,12,277.08
Bank/ICIcb9c73b6e4f44bf6bf58a9b3f6ce2796
UPI/206210657168/mug/gclcheeka@oksbi/State Bank Of
03-03-2022 320.00 1,12,597.08
I/SBI5366be411b0545f58787687049539347
UPI/206238465846/UPI/hshappysingh05@/Punjab
03-03-2022 300.00 1,12,897.08
National/AXIed35909dea1d443387db7a341f16f69b
UPI/206208375813/UPI/vikrambeniwal00/Canara
03-03-2022 4,000.00 1,16,897.08
Bank/ICIb0bce937259e4bc3983166b0fff0617f
UPI/206216856431/payment on CRED/credcc@yesbank/Yes
03-03-2022 90,000.00 26,897.08
Bank Ltd/ACDeul6zWsD8RjW51QaHQ4/
UPI/206212689054/UPI/vikrambeniwal00/Canara
03-03-2022 4,000.00 30,897.08
Bank/ICI347f43cf034e40b9a9d857bfbf5b166c
UPI/206257498064/UPI/Gurpreet500@aub/AU small
03-03-2022 250.00 31,147.08
Financ/AUS20220303TS0TE378A8A5489C54DA9AE5
UPI/206218270960/payment on CRED/credcc@yesbank/Yes
03-03-2022 20,800.00 10,347.08
Bank Ltd/ACDeulirat7HXZ28rC7gBN/
04-03-2022 CashDep Chgs 01-28Feb22+GST 118.00 10,229.08
UPI/206408184293/payment on CRED/cred.club@axisb/Axis
05-03-2022 4,000.00 6,229.08
Bank Ltd./ACD7eBd2J1K2ZejqZ5v0pgR/
UPI/206406178892/UPI/q18197704@ybl/HDFC BANK
05-03-2022 30.00 6,199.08
LTD/ICI5c66964680054420a520d6a7c183257c/
UPI/206428921051/NA/9996492991@payt/Paytm Payments
05-03-2022 500.00 6,699.08
/PTM50a1e1779b864021a8d7d8f74dc971f7
UPI/206429022415/Oid17448584694@/ptmppl@paytm/Paytm
05-03-2022 776.55 5,922.53
Payments /PTMaee681a63f284b2daa2c79623dda3c91/
UPI/206410760027/UPI/amitnagpal4422-/HDFC BANK
05-03-2022 5,500.00 422.53
LTD/ICI1878f2572a5e4367ab04d5aec440c6c2/
UPI/206511110390/Oid17461606740@/paytm-27337257@/Payt
07-03-2022 300.00 122.53
m Payments /PTM8422cfd0ba364d06a928052a55f78a82
UPI/206610197374/Verified Mercha/bharatpe.905148/Federal
07-03-2022 100.00 22.53
Bank/ICId7195a00f4514871b3b57a3a9a47c4a3/
UPI/206612767551/UPI/dnshkumar57@oki/ICICI
07-03-2022 2,500.00 2,522.53
Bank/ICIdb08e03ecadb403993bd0d08ec579bba
UPI/206612508207/UPI/nitingoel1197@o/HDFC BANK
07-03-2022 500.00 2,022.53
LTD/ICI8072201477664b7fab94af52493d34ab/
MMT/IMPS/206619752836/KISETSU SAISON /RZPX PVT L/Yes
07-03-2022 MOBILE BANKING 9,233.00 11,255.53
Bank Ltd
Total: 1,20,123.00 1,26,734.55 11,255.53
 Page 2 of 4 M-13258864-91048

Statement of Transactions in Savings Account XXXXXXXX7908 in INR for the period March 01, 2022 - March 31, 2022

DATE MODE PARTICULARS DEPOSITS WITHDRAWALS BALANCE

UPI/206630780127/Payment from Ph/yahuja@ybl/IDBI Bank
07-03-2022 2,000.00 9,255.53
Limit/YBL95e92c95a2ad4afb9c8a6287ce948ad3/
UPI/206709482351/UPI/paytmqr28100505/Paytm Payments
08-03-2022 8,400.00 855.53
/ICI90139c981a41458cb50e17a7e1618bdc/
UPI/206709971617/UPI/paytmqr28100505/Paytm Payments
08-03-2022 660.00 195.53
/ICIa8eabad473564ebd9af23f35157a4140/
UPI/206715987983/UPI/rickysingb-3@ok/INDUSIND
08-03-2022 180.00 15.53
BANK/ICI26b69d43a9834d11bf2b286a640dc3e5/
UPI/206887388671/UPI/shivamsaini1888/Union Bank of
09-03-2022 90.00 105.53
I/HDF08c3b81494ca4b238d42b9e842bae09e
UPI/206871590844/UPI/jyotimovies7@ok/Axis Bank
09-03-2022 880.00 985.53
Ltd./AXI346b026a4d2d440cafab680adba7c059
UPI/206842128223/Oid17497920133@/add-money@paytm/Payt
09-03-2022 649.00 336.53
m Payments /PTMea0f39f84aeb4783a64ed107ce21da42
UPI/206860019333/Oid202203091958/paytm-36061469@/Paytm
09-03-2022 240.00 96.53
Payments /PTM1a700e95112f40328ed10b9b2ad859c0
UPI/206910829206/UPI/dnshkumar57@oki/ICICI
10-03-2022 7,500.00 7,596.53
Bank/ICI02058ce072e74a84b518ca70c07fd715
UPI/206996096898/clear/bittupanchal110/AU small
10-03-2022 270.00 7,866.53
Financ/AXIcce94cda7ff44f4cade8aacc6bcdf2cc
UPI/206915621083/payment on CRED/cred.club@axisb/Axis
10-03-2022 500.00 7,366.53
Bank Ltd./ACDyZpLkVBzMRkGEB7kVnXQ/
UPI/206916572274/UPI/tanuj3189@okici/ICICI
10-03-2022 2,600.00 4,766.53
Bank/ICI7330720c24354a27b76e3a289d4d2bbd/
UPI/207004213126/UPI/dnshkumar57@oki/ICICI
11-03-2022 500.00 4,266.53
Bank/ICI7125b7985d6d45918378ffbc5f86503b/
UPI/207013857769/UPI/dskaushik19@oks/State Bank Of
11-03-2022 600.00 4,866.53
I/SBI4ad838899f70455498a12f6843171ad6
UPI/207008539157/UPI/dnshkumar57@oki/ICICI
11-03-2022 4,800.00 66.53
Bank/ICI3cabd25523e042cbbfccba726e120a2b/
UPI/207030179961/UPI/rock332211star@/HDFC BANK
11-03-2022 850.00 916.53
LTD/HDFb3e3cdccbcac4445a39da9836fe8c450
UPI/207019795517/UPI/rksandaly96@oks/State Bank Of
11-03-2022 180.00 1,096.53
I/SBI44d2b81ba44b40d1aa4620b8bcb63b66
UPI/207172355490/Payment from Ph/8800850542@ybl/State
14-03-2022 850.00 1,946.53
Bank Of I/YBLca4f82c4dfb741139a5725eae527736e
UPI/207148250233/UPI/rinkurinku8812@/Kotak Mahindra
14-03-2022 80.00 2,026.53
/AXIba6786759b8f4ed1ab629f80535f7666
UPI/207147772486/deepak/amitnagpal4422-/HDFC
14-03-2022 1,600.00 3,626.53
BANKLTD/HDF949326c2239a437688b985d32de37b9b
UPI/207116875752/payment on CRED/cred.club@axisb/Axis
14-03-2022 1,400.00 2,226.53
Bank Ltd./ACDQBqLy0DQNG9XK1bvV1N2/
UPI/207115696552/UPI/singhchannu376@/State Bank Of
14-03-2022 2,000.00 226.53
I/ICIb0831a53ce8d410b92ebbffba78a0ad1/
UPI/207311928654/NA/9996492991@payt/Paytm Payments
14-03-2022 150.00 376.53
/PTM676419122ee54c8692dba105dcf94f95
UPI/207383185801/UPI/insanvijay658@o/HDFC BANK
14-03-2022 80.00 456.53
LTD/HDF23a2573ab8214b46b000aa79d28b554a
UPI/207318570977/UPI/monustudiobatta/Central
14-03-2022 200.00 656.53
BankOf/SBIf7f666236c164840abe015e11246bb76
UPI/207378699826/Oid202203142039/paytm-40374085@/Paytm
14-03-2022 20.00 636.53
Payments /PTMf1a63dfc50704d0da73658e4d2f9567f
UPI/207414415576/UPI/singhchannu376@/State Bank Of
15-03-2022 1,000.00 1,636.53
I/SBI937bfd9d1ff747d5b71ecfc835f40f8e
UPI/207442531507/UPI Intent/ludosupremegold/StateBank Of
15-03-2022 50.00 1,586.53
I/PTM41151e90fcfd4f60bf2d133306963118/
UPI/207428307917/UPI/pulyanisunny2@o/Central
15-03-2022 800.00 786.53
BankOf/ICI9ec79e984bfa4af98ec083ff2cc7b9ba/
UPI/207402923874/UPI/hunny9996006616/HDFC BANK
15-03-2022 100.00 886.53
LTD/HDF923c96abc72d43f3878a498362529eac
UPI/207496860372/UPI/rickysingb-3@ok/INDUSIND
15-03-2022 180.00 706.53
BANK/ICI0ca3db32a1b648d38f93b8f266acfbce/
UPI/207440634489/UPI Intent/zupee.rzp@yesba/Yes Bank
15-03-2022 100.00 606.53
Ltd/ICIaf39875538ff41a6bc2b625791d14bb1/
UPI/207523814088/Verified Mercha/BHARATPE.905194/Federal
16-03-2022 50.00 556.53
Bank/PTMa6e2848164b34ae1bd7e9131d4dacd43/
UPI/207537084934/Verified Mercha/BHARATPE.905148/Federal
16-03-2022 150.00 406.53
Bank/PTMb4ef7d67249449fb923775ef9e01ed8b/
UPI/207548680139/UPI/hshappysingh05@/Punjab
16-03-2022 350.00 756.53
National/AXI9a6b152a53124e69a430aa9d18e2c063
UPI/207503499129/Payment from Ph/shubham.jagya@a/HDFC
16-03-2022 300.00 456.53
BANK LTD/AXL10e17cb3ce594b65bbf40fe0b96d2df1/
UPI/207616420902/UPI/rasilanaseeb145/Punjab
17-03-2022 50.00 406.53
National/ICI61afe2ef9f8f4f0bae4da5c4b7e1d6de/
UPI/207734576296/Oid202203181453/paytm-65136765@/Paytm
18-03-2022 380.00 26.53
Payments /PTM21a642df28d84ae0b49260544fbd123d
UPI/207718046162/UPI/rahulbindlish51/Axis Bank
18-03-2022 1,000.00 1,026.53
Ltd./AXIfb037dc8161e4ca7b27d6b127d39bd92
Total: 15,780.00 26,009.00 1,026.53
 Page 3 of 4 M-13258864-91048

Statement of Transactions in Savings Account XXXXXXXX7908 in INR for the period March 01, 2022 - March 31, 2022

DATE MODE PARTICULARS DEPOSITS WITHDRAWALS BALANCE

UPI/207781521071/UPI/sparag027@okici/Punjab and
18-03-2022 1,000.00 26.53
Sind/ICIb1eb9354155e4f4f895bcfbe1f28ea35/
UPI/207817413716/UPI/monustudiobatta/Central
19-03-2022 270.00 296.53
BankOf/SBI686ec53792964a95bcbf76be025a5057
UPI/207894996980/UPI/rickysingb-5@ok/Axis Bank
19-03-2022 160.00 136.53
Ltd./ICIa663ae1e21b24705be2c3b965a8f5e12/
UPI/207815657794/UPI/sandhumedical12/State Bank Of
19-03-2022 120.00 16.53
I/ICI85cbe36a86944294a1bdce0401b3bf53/
21-03-2022 CASH DEPOSIT CAM/08611SRY/CASH DEP/21-03-22/7957 70,000.00 70,016.53
UPI/208000308013/UPI/DUMMY NAME/Canara
21-03-2022 70,000.00 16.53
Bank/ICI3fe3ed9fd97349399e0a347b501357e8/
UPI/208066445100/UPI/rinkurinku8812@/Kotak Mahindra
21-03-2022 160.00 176.53
/AXIf3d8c28aa0694753a4b1719e960c7bde
MMT/IMPS/208112787221/CAMDEN TOWN BAN/DIGIOTECH
22-03-2022 MOBILE BANKING 1.00 177.53
/Yes Bank Ltd
UPI/208158650031/UPI/devindergrover2/Bank of
22-03-2022 180.00 357.53
Baroda/ICIe3c76ca87bb8450bbb3014054d35e399
23-03-2022 APYREG_500527932692_Rs.151 Fr 032022 151.00 206.53
UPI/208286173876/Payment from Ph/98964969990@ibl/Punjab
23-03-2022 1,250.00 1,456.53
National/IBLd2f3cadfe2b94a8f912b707c12c6a55c
UPI/208223827158/Oid17594409542@/add-money@paytm/Payt
23-03-2022 1,220.00 236.53
m Payments /PTM6e09a2568a0d4e1a8334f74c28da3904
UPI/208214286230/UPI/paytmqr28100505/Paytm Payments
23-03-2022 150.00 86.53
/ICI51705ba93dc942ba961d6ac4daa5c728/
UPI/208332951959/UPI/vishalchauhan.v/Canara
24-03-2022 180.00 266.53
Bank/AXI5138b240cfb9476289f3c6d600d55068
UPI/208388368466/UPI/q552650466@ybl/Ujjivan
24-03-2022 35.00 231.53
SmallF/ICI629f963c72a24adc9f2942e241660d5e/
UPI/208341989317/NA/Q552650466@ybl/Ujjivan Small
24-03-2022 35.00 196.53
F/PTM26f7ff2298844d6391fe7630caa1d6b4/
UPI/208361199750/Xstream Premium/wynk.payu@icici/ICICI
24-03-2022 149.00 47.53
Bank/ed067578ab8b11ecb9342d6e395ab40c/
UPI/208461489817/UPI/rohantagra3@okh/Central
25-03-2022 15.00 62.53
BankOf/HDFac7d77bbd9224ca3b03beb6568cb1977
UPI/208421047830/Oid17614743774@/payair7673@payt/Paytm
25-03-2022 58.00 4.53
Payments /PTM64d26686133a4ba6aba74a933bc2a0b7
UPI/208529205430/NA/walletmoneytoba/Paytm Payments
28-03-2022 1,000.00 1,004.53
/PTM76b8a6e010d04adca36b2badc9a3732c
UPI/208500247044/Payment from Ph/shubham.jagya@a/HDFC
28-03-2022 1,000.00 4.53
BANK LTD/AXL7483990c95cd40799650ce2ff101367b/
UPI/208685598728/UPI/sn1983066@okaxi/Punjab
28-03-2022 450.00 454.53
National/AXIa595923e27be405e8ba9646b816d533e
UPI/208637751796/UPI/gpay-1119215783/Axis Bank
28-03-2022 450.00 4.53
Ltd./ICI163179916b6845f7a7b4826d8097f7ed/
MMT/IMPS/208717701588/verification/ARNOLD HOL/YesBank
28-03-2022 MOBILE BANKING 1.00 5.53
Ltd
30-03-2022 086101507908:Int.Pd:31-12-2021 to 29-03-2022 45.00 50.53
UPI/208992233744/Payment from Ph/98964969990@ibl/Punjab
30-03-2022 21,375.00 21,425.53
National/IBLa049bd79098f4dea95dd0f7f6c3736cf
UPI/208916612309/payment on CRED/cred.club@axisb/Axis
30-03-2022 21,373.50 52.03
Bank Ltd./ACDRaG1PaBMGy1e56eL0MLn/
UPI/208949449133/NA/walletmoneytoba/Paytm Payments
30-03-2022 70.00 122.03
/PTMb404d41ccdd34f4cb3d1d784db5ed410
UPI/208953224703/UPI/rohantagra3-1@o/HDFC BANK
30-03-2022 150.00 272.03
LTD/HDFa4a9372bfc594e50a8c98aebb77dff57
UPI/208980276276/UPI/rickysingb-5@ok/Axis Bank
30-03-2022 270.00 2.03
Ltd./ICIdf89850c05894e53a72a0090b629d61f/
UPI/209078517726/UPI/rinkurinku8812@/Kotak Mahindra
31-03-2022 240.00 242.03
/AXI63aa11c4a96b46c49c6be5ec260bf5c6
UPI/209077262246/UPI/gpay-1119215783/Axis Bank
31-03-2022 240.00 2.03
Ltd./ICIe44dd072ba2247198d95d039bb4a5abb/
UPI/209091201566/UPI/dnshkumar57@oki/ICICI
31-03-2022 1,000.00 1,002.03
Bank/ICIa015b767b88e4db1aede274a2187d104
UPI/209076276072/UPI/sparag027@okici/Punjab and
31-03-2022 1,000.00 2.03
Sind/ICIc0a826bad53645d39406fa4ac6696947/
Total: 96,387.00 97,411.50 2.03

Account Related Other Information

ACCOUNT TYPE ACCOUNT NUMBER MICR CODE IFS CODE NAME OF NOMINEE*
Savings XXXXXXXX7908 136229152 ICIC0000861 -

* Nominee name is displayed only on specific consent of customer.

 Page 4 of 4 M-13258864-91048

Sincerely, Legends for transactions in your account statement

VAT/MAT/NFS- Cash Withdrawal at other bank's ATM INF - Internet funds transfer in linked accounts
EBA-Transaction at ICICIDirect BIL - Internet bill payment or funds transfer to third party
ICICI Bank Limited VPS/IPS-Debit card transaction TOP - Mobile Recharge
RTGS-Real Time Gross Settlement (Instant transfer above Rs 2 Lakh) NEFT - National Electronic Fund Transfer

This is a system-generated statement. Hence, it does not require any signature.

You can now download the account statement using the iMobile Pay app and Internet Banking.

l There is a revision in the service charge for domestic Savings Accounts w.e.f. Feb 01, 2022. l Do not fall prey to fictitious offers of winning prizes, money circulation schemes and cheap
For details, please visit https://www.icicibank.com/notice-board.page funds, etc. through SMS, e-mails and calls.
l There is a change in the terms and conditions for Salary Accounts. For detailed terms and l As per the prevailing guidelines of the Income Tax Act, 1961, if a valid PAN is not provided by
conditions, visit www.icicibank.com/managed-assets/docs/terms-condition/tnc-savings-account.pdf the customer, then the Form 15G/15H shall not be treated as valid and tax shall be deducted at
(Clause XV). the prevailing rate or at 20%, whichever is higher. PAN can be updated online or at the nearest
l Bank’s Code of Commitment to Customers and Micro and Small Enterprises (MSE): Please branch.
visit www.icicibank.com > About Us > Notice Board > Code of Commitment. The code l The address of the customer in Form 16A will be the last updated address in the data base of the
has been framed in line with the guidelines provided by Banking Codes and Standards income tax department.
Board of India (BCSBI).
l PMJJBY Insurance: The insurance premium is collected on behalf of ICICI Prudential Life
l As per guidelines issued by CBDT on May 13,2011, Form 16A (TDS Certificates) will be Insurance Company Limited plus administration charges collected by ICICI Bank (including GST),
generated through the Income tax website for which the PAN of the customer needs to be in line with extant laws. Effective Sep 01, 2018, a premium is charged on a pro rata basis for all
necessarily updated in Bank's record. new enrolments in the scheme. It is noteworthy that the renewal premium for all existing
l Each depositor is insured by the Deposit Insurance and Credit Guarantee Corporation customers shall be charged for a period of one year (i.e. Rs 330) on May 25 - May 31 every year.
(DICGC) up to a maximum of Rs. 5 lakh, for both principal and interest amount held by him For details on the premium structure, refer to the Terms & Conditions under the Pradhan Mantri
in the same right and same capacity. Social Security Schemes at www.icicibank.com.
www.icicibank.com
Corporate Office: ICICI Bank Ltd., ICICI Bank Towers, Bandra-Kurla complex, Mumbai - 400051, India. Category of service: Banking & Financial Services.
Registered Office: ICICI Bank Tower, Near Chakli Circle, Old Padra Road, Vadodara, Gujarat. Pin – 390 007. Registration No. MIV/ST/Bank & Finc/4.
CIN : L65190GJ1994PLC021012
This is an authenticated intimation/statement.
Customers are requested to immediately notify the Bank, in case of any error in the statement. SR201850771